Organization Active NPI

First Mercy Homes LLC

  • Adult Care Home Facility
  • Apple Valley, MN
National Provider Identifier
1043844384
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FIRST MERCY HOMES LLC
Practice address
15723 Fair Hill Way
Apple Valley, MN 55124-5256
Phone
(206) 915-3015
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohomed O Yusuf
Title
Manager
Phone
(206) 915-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

15723 Fair Hill Way
Apple Valley, MN 55124-5256

Mailing address

7800 Metro Pkwy Ste 110
Bloomington, MN 55425-1528
Phone (206) 915-3015

Other names 1

  • First Mercy Homes LLC Doing business as

National Provider Directory

National Provider Directory

Locations

7800 Metro Pkwy
Ste 110
Bloomington, MN 55425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1043844384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251528",
            "telephone_number": "206-915-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15723 FAIR HILL WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245256",
            "telephone_number": "206-915-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MERCY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "MOHOMED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-915-3015"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Mercy Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.